Organization
BRONX SPECIALTY PHARMACY INC
Active
Other names
BRONX SPECIALTY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK MOISEYEV (PRESIDENT)
(718) 328-2800
Entity
Organization
Contact information
Practice address
940A SOUTHERN BLVD, BRONX, NY 10459-3402
(718) 328-2800
(718) 328-2700
Mailing address
940A SOUTHERN BOULEVARD, BRONX, NY 10459-3402
(718) 328-2800
(718) 328-2700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034669
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04676862
—
NY
01
—
2160933
PK
—
Enumeration date
05/24/2016
Last updated
09/19/2025
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